Naturopathy
oracknows | March 10, 2014Every so often I wonder what the status is regarding the infiltration of pseudoscience into medicine. It's something I've been writing about on a regular basis for nine years now, a phenomenon known as "quackademic medicine." It's simultaneously a depressing and energizing topic, energizing because it's something I'm passionate about, but depressing because at times it seems like an unwinnable battle.
Times like now.
What depressed me this time was article that popped up in my feed on Medscape entitled, Do Clinicians Base CAM Recommendations to Patients on Evidence of Efficacy? Since "…
oracknows | March 4, 2014I've mentioned before how Detroit is my hometown. What that means is that I live very near to Canada. In fact, I can go into Windsor pretty much any time I want to, although I don't do it very often. Lots of Canadians work at the cancer center I work at because it's only a few miles from the tunnel to Windsor. That's why I was so disturbed when Ontario proposed letting naturopaths have prescribing privileges. Ultimately, the bill was passed, allowing naturopaths to prescribe actual prescription drugs, although it took three years to hammer out regulations based on the law. Of course,…
oracknows | February 18, 2014The vast majority of what is known as "alternative medicine" is quackery. Let's just get that right out front right from the very beginning of this post. That's where I'm coming from, and where I'm coming from is a science- and evidence-based viewpoint. To quote a cliche that is true and modified to my own view of medicine, there is no such thing as "alternative medicine." There is medicine that has been scientifically demonstrated to work. There is medicine that has been scientifically demonstrated not to work. And there is medicine that has not been shown to work. What makes up "alternative…
oracknows | February 7, 2014If there's one thing that I write that I don't feel I repeat too much (although some might disagree), it's that, unlike other centers and institutes at the National Institutes of Health (NIH), there is not, and never was, a compelling scientific justification for the National Center for Complementary and Alternative Medicine (NCCAM) to exist as a separate entity. There is nothing that NCCAM does that couldn't be done just as well in other parts of the NIH, with the exception of research into modalities with such low prior plausibility and such fantastical proposed mechanisms of working that…
oracknows | January 6, 2014Because of my involvement in this organization, I am hijacking my own blog for one day for my own nefarious purposes. To that end, I am republishing an announcement that originally appeared yesterday at a blog that a significant fraction of you are familiar with, but nowhere near all of you. And I want all of you to know about this, because I hope that some of you will join our cause.
I'm also going to add a few words of my own, because I can't help it. (As Hans Solo once said, "Hey, it's me.") The reason this new organization, the Society for Science-Based Medicine, is so needed is because,…
oracknows | December 8, 2013I am afraid. I am afraid that the Amish girl with cancer whose parents' battle to treat her with "natural" therapy instead of effective science-based chemotherapy has made international news, is doomed. It might take longer than doctors have estimated, but it seems inevitable now. I will explain.
It's hard to believe that it's been two months since I first became aware of the case of Sarah Hershberger, the now 11-year-old Amish girl from Medina County, Ohio near Akron with lymphoblastic lymphoma whose parents stopped her chemotherapy after only two rounds. It was around that time that, after…
oracknows | November 7, 2013About a year ago, I became aware of the latest celebrity antivaccinationist with a penchant for saying truly stupid things and thus making an even bigger fool of himself than he usually does. I'm referring to Rob "makin' copies" Schneider, who most recently has been making waves for narrating a misinformation-packed "viral" video about the Vaccine Court and the National Vaccine Injury Compensation Program (NVICP). It's a video that's so mendacious that it even amazes me, and I've been watching the antivaccine movement for a decade now.
However, back in 2012, Rob Scheider, apparently being a…
oracknows | October 25, 2013Most, if not virtually all, of what is now referred to as "traditional Chinese medicine" is quackery. I realize that it's considered "intolerant" and not politically correct to say that in these days of "integrative medicine" departments infiltrating academic medical centers like so much kudzu enveloping a telephone pole, but I don't care. I'm supposed to be impressed that the M.D. Anderson and Memorial-Sloan Kettering Cancer Centers, among others, have lost their collective mind and now "integrate" prescientific nonsense along with their state-of-the-art cancer therapy? I don't think so. I…
oracknows | October 21, 2013I was doing my usual browsing of the web yesterday in search of topics for today's post when I came across an excellent article by a colleague and friend of mine, Dr. Rachael Dunlop, who nailed it in a post entitled Anti-vaccination activists should not be given a say in the media. In the article, Dr. Rachie nailed a point that I and other skeptics have been trying to make time and time again, namely how the press all too frequently inserts false balance in stories about medicine, particularly vaccines. As Dr. Rachie put it, we don't give equal time to flat earth believers. My favorite…
oracknows | October 9, 2013Here we go with another one.
Three weeks ago, I mentioned in a post that the week of October 7 to 14 was declared by our very own United States Senate to be Naturopathic Medicine Week, which I declared unilaterally through my power as managing editor of Science-Based Medicine (for what that's worth) to be Quackery Week. One wonders where the Senate found the time to consider and vote for S.Res.221, which reads:
S.Res.221 – A resolution designating the week of October 7 through October 13, 2013, as “Naturopathic Medicine Week” to recognize the value of naturopathic medicine in providing safe…
oracknows | October 8, 2013I realize I've been remiss. After all, three or four weeks ago, I pointed out that the week of October 7 to 14, this very week, was going to be Quackery Week. Well, it wasn't actually I who first declared this week quackery week. It was actually our very own U.s. Senate, which, as I pointed out, passed S.Res.221, which declared:
A resolution designating the week of October 7 through October 13, 2013, as “Naturopathic Medicine Week” to recognize the value of naturopathic medicine in providing safe, effective, and affordable health care.
Given that the vast majority of naturopathy is quackery…
oracknows | September 27, 2013One of the major differences between science-based medicine (SBM) and alternative medicine—or, as they call it these days, "complementary and alternative medicine" (CAM) or "integrative medicine"—is that SBM is always questioning itself, always reevaluating its practices. Related to this difference is that SBM does change its practice, discarding treatments that don't work and incorporating those that do work (or at least work better than older practices). As I've said many times before, the process by which this happens is messy and slower than we might like, and that provides ammunition to…
oracknows | September 13, 2013Naturopathy is quackery. There, I said it. Actually, I've said it many times before, because it is. The problem with naturopathy, of course, is that it is so diffuse and encompasses so many different forms of quackery that it's hard to categorize. Basically, it's anything that can be portrayed as "natural," be it traditional Chinese medicine, homeopathy (which is an integral component of naturopathy, something that should tell you all you need to know about naturopathy), herbalism, energy healing, Ayurvedic medicine, the four humors, or whatever. Seemingly, there is no quackery that…
oracknows | August 20, 2013To say that I haven't been much of a fan of the National Center for Complementary and Alternative Medicine (NCCAM) throughout the years is a gross understatement. If you want to see the depths of my—shall we say?—lack of enthusiasm for NCCAM, feel free to type "NCCAM" in the search box of this blog and in particular look for posts that have "NCCAM" somewhere in their titles. It won't take you long to find posts by yours truly with titles as awesome as NCCAM: I say we take off and nuke the entire center from orbit. It’s the only way to be sure and NCCAM in the news: Why does it still exist?…
oracknows | July 26, 2013Like yesterday's post, this will be a post that references our favorite dubious cancer doctor Stanislaw Burzynski but is not primarily about him. However, given the nature of the subject matter, it is impossible not to think of Burzynski, as comparisons are inevitable. Whereas yesterday all we were dealing with was a rather amusing "award" that Stanislaw Burzynski was awarded by a quack who had somehow conned a prominent Cardinal to give the Church's imprimatur on a Catholic medical order he wanted to resurrect to get other quacks to join, this week we're dealing with a serious subject:…
oracknows | July 24, 2013It's hard to believe that it's been nearly two years since I first noticed that a board certification in quackery was in the works and appeared to be nearly ready to go. I'm referring, of course, to Andrew Weil's effort to create a board certification in so-called "integrative medicine," better known to those of us on the science-based side of medicine as integrating quackery and pseudoscience with real medicine. Since it's been so long since I last addressed this issue, it's probably worth a brief recap. Basically, back in 2011, Andrew Weil and his Arizona Center for Integrative Medicine (…
oracknows | July 22, 2013Mike Adams (a.k.a. the "Health Ranger") has been a regular blog topic for several years now. There are many reasons for this, not the least of which is that, among supporters of quackery, no one quite brings the crazy home the way Mike Adams does, be it writing antivaccine rap songs, abusing dead celebrities by claiming they would have survived if only they had used whatever quackery Adams supported at the time or painting them as victims of big pharma, or conspiracy mongering on a level that make Alex Jones blush. Truly, Mikey has a special talent among woo-meisters. Joe Mercola might have…
oracknows | June 18, 2013Sometimes, between blogging, a demanding day (and night) job doing surgery and science, and everything else, I embarrass myself. Sure, sometimes I embarrass myself by saying something that, in retrospect, I wish I hadn't. More often, I embarrass myself by letting things slide that I shouldn't. For instance, when friends send me a prepublication copy of their books, I should damned well read them, don't you think? So it was that Paul Offit sent me a copy of his latest book, which just hit the bookstores and online outlets this week, Do You Believe in Magic? The Sense and Nonsense of…
oracknows | June 10, 2013It's just one more cut on the road to the proverbial death by a thousand cuts.
I'm referring, unfortunately, to last week's development in the state of Colorado. Specifically, I'm referring to the Colorado legislature's truly boneheaded decision to license naturopaths, thus giving the imprimatur of the state to quackery and, in essence, legalizing a whole lot of that quackery. It's been a long time coming, and, say what you will about Colorado naturopaths, they're persistent and disciplined. As a result, after years of effort, they finally got what they wanted, although apparently not all…
oracknows | May 19, 2013That naturopathy is a veritable cornucopia of quackery mixed with the odd sensible, science-based suggestion here and there is not in doubt, at least not to supporters of science-based medicine (SBM). However, what naturopaths are very good at doing is representing their pseudoscience as somehow being scientific and thus on par with actual SBM. So how do they accomplish this? Certainly, it's not through the validation of any of the cornucopia of pseudoscience and quackery that naturopaths apply to their patients as though picking "one from column A and one from column B" from a proverbial…